Individual provider Active NPI

Jay Eric Itzkowitz, MSPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1801895586
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16815 Issued in FL
Practice address
9980 Central Park Blvd N
Suite 220
Boca Raton, FL 33428-1762
Phone
(561) 558-8898
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16815 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N
Suite 220
Boca Raton, FL 33428-1762

Mailing address

9980 Central Park Blvd N
Suite 220
Boca Raton, FL 33428-1762
Phone (561) 558-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130122000279 FL Practitioner - Physical Therapist in Private Practice 1456501766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard J. Gelb MD PAGroup PAC ID 4183664063, 7 clinicians

Practice addresses (Care Compare)

9980 Central Park Blvd N
Boca Raton, FL 33428-1704
Phone (561) 558-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16815FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard J. Gelb MD PA Physical Therapist CurrentSince Aug 13, 2012 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 222
Boca Raton, FL 33428
Phone (561) 477-5801

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1801895586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-558-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-558-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKOWITZ",
        "first_name": "JAY",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.